Medical Prior Authorization Specialist

St. Luke's University Health Network

Insurance prior authorization coordination
Insurance verification and eligibility
Electronic medical record documentation
St. Luke's is proud of the skills, experience and compassion of its employees and is dedicated to satisfying the mission of caring for the sick and injured while improving access to care regardless of ability to pay

Job Summary

  • St. Luke's is proud of the skills, experience and compassion of its employees and is dedicated to satisfying the mission of caring for the sick and injured while improving access to care regardless of ability to pay.
  • The Medication Prior Authorization Specialist is responsible for obtaining prior authorizations by liaising with providers, insurance companies, and patients and documenting authorizations in the medical record.
  • The role requires active participation in performance improvement activities and maintaining knowledge of electronic medical record systems and insurance websites.

Matching Summary

St. Luke's is proud of the skills, experience and compassion of its employees and is dedicated to satisfying the mission of caring for the sick and injured while improving access to care regardless of ability to pay.

Skills & Requirements

Must-have

  • insurance prior authorization coordination
  • insurance verification and eligibility
  • electronic medical record documentation
  • liaison with providers and insurance companies
  • use of telephony and fax for authorizations

Nice-to-have

  • customer service experience
  • solution-oriented mindset
  • continuous quality improvement participation
  • collaboration with clinical care teams

Key Requirements

  • High School graduate or equivalent
  • One year practice-based healthcare experience
  • Previous prior authorization experience preferred
  • Customer service experience preferred
  • Previous Medical Assistant experience preferred

Work Rights

Not specified

Tailored Resume

Cover Letter